“Flat denial” – when a mastectomy patients’ wishes to have a smooth flat chest after their surgery are denied by the unilateral actions of their surgeon(s), either intentionally despite technical competence, or by default through lack of skill or care.

Cleveland Clinic_Big 3 (1)These surgeons are either unwilling or unable to produce the desired result for the patient and fail to fully inform the patient of these facts or refer her to a willing and competent colleague.

Their actions leave the patient with an unacceptable result that requires additional surgery to fix.

And no one holds them accountable.

Our 2018 Survey found that of all patients who choose to go flat, 5-12% are instead subjected to intentional flat denial by a surgeon who believes they will “change their minds.”

This must STOP.

Please feel free to print, distribute, and otherwise fairly use the educational materials provided on this site (brochures, guidelines, etc.).  Our goal is to educate patients and medical providers about flat denial.  For more information on fair use, see below.


For the full list of resources, please access our Resources Page.

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This site contains copyrighted material. Not Putting on a Shirt’s educational materials and resources on this site are freely available for “fair use” (Title 17 U.S.C. Section 107) in accordance with our mission to advocate for satisfactory outcomes for those who choose to go flat after mastectomy.  The copyrighted material on this site is distributed for educational purposes without profit – all donations to Not Putting on a Shirt directly fund our advocacy work. If you wish to use copyrighted material from this site for purposes that go beyond “fair use”, you must first obtain explicit permission from the copyright owner. Please direct requests or questions to NotPuttingonaShirt@gmail.com.

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